Knowledge and Practice of Clinicians regarding Syndromic Management of Sexually Transmitted Infections in Public Health Facilities of Gamo Gofa Zone, South Ethiopia

Alemayehu, Addisu; Godana, Wanzahun

doi:10.1155/2015/310409

Cited by 7 publications

(8 citation statements)

References 7 publications

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“…Although only 30% of physicians were aware of the guidelines for the syndromic management of STIs, clinically, the current study showed that the majority of physicians (76%) correctly prescribed the medication concerning the STIs' syndrome for their patients in the last 10 days. These findings go in line with the results of previous studies [10,11] that explained this finding by most physicians following their clinical flowchart in treating STI cases. However, our result is higher than the findings in these studies [11,16]; this might be because most participants had more than 10 years of experience with a high level of education.…”

Section: Discussionsupporting

confidence: 92%

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Assessment of Using the Syndromic Approach in Managing Patients With Sexually Transmitted Diseases Among the National Guard Primary Health Care Physicians, Jeddah City, Saudi Arabia

Al-Mugti¹,

Hakeem²,

Alghamdi³

et al. 2022

Cureus

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BackgroundSexually transmitted infections (STIs) include a group of clinical syndromes that can be transmitted mainly through sexual activity. Using STIs' syndromic approach for diagnosis and management is widely recommended to control and reduce the burden of these transmissible diseases. ObjectiveThe objective of this article is to assess the knowledge and practice of physicians concerning syndromic management of STIs in National Guard Primary Health Care (PHC) centers in Jeddah city, Saudi Arabia. Materials and methodsThis observational study was conducted at the National Guard PHC centers in Jeddah City, Saudi Arabia. An interview-administered questionnaire was designed. Fifty physicians have met the inclusion criteria, and all of them were included in the present study. ResultsOf the study population, 47 PHC physicians (response rate was 94%) were interviewed and the questionnaire was completed. Overall, the physicians' knowledge was different from one syndrome to another; it was highest for urethral discharge (72%) and lowest for vaginal discharge in pregnant women (21%). During the last 10 days, the physicians in the present study reported that two-thirds of their cases of STI were urethral discharge cases. However, during the previous 10 days, the practice assessment revealed that most physicians (76%) were correctly prescribed the medications as indicated by specific patients' syndromes. ConclusionSyndromic management is essential guidance to control and reduce the burden of STIs. Overall knowledge and practice of physicians were different from one syndrome to another. There is a need to design continuing medical education programs targeting PHC physicians to be clinically and culturally competent against socially sensitive diseases like STIs.

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Section: Discussionsupporting

confidence: 92%

“…PHC physicians are the cornerstone to implementing such an approach. However, different studies conducted in developing countries showed poor knowledge [10,11] and practice [12] among the health care workers regarding the syndromic management of STIs. Still, no data is known from Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Using the Syndromic Approach in Managing Patients With Sexually Transmitted Diseases Among the National Guard Primary Health Care Physicians, Jeddah City, Saudi Arabia

Al-Mugti¹,

Hakeem²,

Alghamdi³

et al. 2022

Cureus

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“…A more recent study found 31% of providers post training prescribed the correct syndromic regimen to patient actors, however was more conservative in including errors in dose or frequency as well as drug name 25. In other countries with syndromic management, similar gaps in provider knowledge and practice have been identified,30 31 indicating a global need for interventions to support improved quality of STI care.…”

Section: Discussionmentioning

confidence: 99%

A national evaluation using standardised patient actors to assess STI services in public sector clinical sentinel surveillance facilities in South Africa

et al. 2017

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This evaluation of STI services across South Africa found gaps in the availability of medications, adherence to STI guidelines, condom provision and prevention messaging. Limited integration with HIV services for this high-risk population was a missed opportunity. Quality of STI care should continue to be monitored, and interventions to improve quality should be prioritised as part of national strategic HIV and primary healthcare agendas.

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“…Only in 8.3% of cases did the clinicians follow the national guidelines correctly and treat the patient correctly using the SM approach. 19 Knowledge of SM of STIs was statistically lower (p = 0.005) among doctors who were more than 40 years of age (older doctors).…”

Section: Doctors' Knowledge Of the Sti Guidelinesmentioning

confidence: 90%

“…11 In a study done in South Ethiopia only in 8.3% of cases did the clinicians correctly adhere to the national SM guidelines for STIs; the majority used their experience to treat STI patients. 19 In a study conducted in six countries in West Africa, correct treatment was given to only 14.1% of patients according to the national syndromic STI management algorithms. 18 Many respondents (22 or 52.4%) made the diagnosis of STI syndromes using only history and physical examination of the patient according to the national syndromic STIs management guidelines.…”

Section: Adherence Practices To the Sti Guidelinesmentioning

confidence: 99%

Knowledge, attitudes and practices of doctors at Jubilee Hospital, Tshwane District, regarding the syndromic management guidelines for sexually transmitted infections

Uchenna

Govender

2018

South African Family Practice

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Background: Sexually transmitted infections (STIs) are a public health problem globally, but especially so in sub-Saharan Africa. They contribute significantly to the burden of disease in South Africa and are recognised as major contributors to the human immunodeficiency virus (HIV) epidemic, with other potential complications when not managed properly. First-line doctors play a critical role in the management of persons suffering from STIs, and need to comply with the national guidelines for STI management. Aim: To determine the knowledge, attitudes and practices of doctors working in Jubilee District Hospital, Metsweding region, Tshwane, regarding the STI syndromic management (SM) guidelines. Setting: Jubilee District Hospital in Tshwane North, Gauteng province, South Africa. Methods: A cross-sectional, descriptive study using a self-administered questionnaire was conducted. Results: Forty-three of the 50 doctors employed at the hospital participated in the study. Fourteen (32.6%) of the doctors were in the 36-40-year age group. Most of the doctors (36 or 83.7%) had only the basic bachelor's degree, and only 4 (9.3%) attended additional STI training. Only 2 respondents (4.6%) had correct knowledge concerning management of male urethritis syndrome and 10 (23.3%) regarding management of genital ulcer syndrome. In compliance with the national SM guidelines for STIs, 22 (52.4%) of the doctors said they made a diagnosis of STIs using history and physical examination. Only 7 (16.7%) said they asked their patients during every consultation about the number of sexual partners, 21 (51.7%) said they always counsel/ screen patients with STIs for HIV infection, and only 4 (9.5%) said they always filled in partner notification slips after attending to the index patient with STIs. This study demonstrated a relationship between doctors' knowledge of the SM guidelines for STIs and their age. Conclusion: Overall the knowledge and practices of doctors at Jubilee District Hospital were suboptimal, and training on the SM of STIs should be made available to address this. Management should introduce regular monitoring, evaluation and supportive services for the doctors regarding their management of STIs according to the guidelines.

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Knowledge and Practice of Clinicians regarding Syndromic Management of Sexually Transmitted Infections in Public Health Facilities of Gamo Gofa Zone, South Ethiopia

Cited by 7 publications

References 7 publications

Assessment of Using the Syndromic Approach in Managing Patients With Sexually Transmitted Diseases Among the National Guard Primary Health Care Physicians, Jeddah City, Saudi Arabia

Assessment of Using the Syndromic Approach in Managing Patients With Sexually Transmitted Diseases Among the National Guard Primary Health Care Physicians, Jeddah City, Saudi Arabia

A national evaluation using standardised patient actors to assess STI services in public sector clinical sentinel surveillance facilities in South Africa

Knowledge, attitudes and practices of doctors at Jubilee Hospital, Tshwane District, regarding the syndromic management guidelines for sexually transmitted infections

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